This paper analyses the source of health care facilities, focusing on under-utilization of public... more This paper analyses the source of health care facilities, focusing on under-utilization of public health facilities and insurance coverage among the urban poor. It used data from 5720 households from three Indian cities of Bhubaneswar, Jaipur and Pune.Urban poor are highly deprived in health insurance coverage as the adjusted effect portrays that slum residences in Jaipur and Pune are 0.57 (p<0.05) and 0.63 (p<0.05) times less likely to be covered by any health insurance despite a considerable proportion of them visiting private health facilities for general health and for maternal,new born and child health services. Only one-fifth of the households in the three cities have at least one member in the family covered under any health insurance scheme. The proportion is lower among slum dwellers as only one in every tenth household reported having at least one member covered in it.
Occupational health covers all aspects of health and safety in the workplace and has a strong foc... more Occupational health covers all aspects of health and safety in the workplace and has a strong focus on primary prevention of hazards. The objective of the study was to understand the extent of awareness about occupational health risks involved in tannery occupation and adopted preventive measures by the tannery workers of Kanpur, India. Information for the present research was strained from a cross-sectional household study of tannery workers in the Jajmau area of Kanpur. The survey was piloted through the period January–June 2015, and 284 samples were collected. The prevalence of awareness of tannery work is very hazardous in nature varies from 73–93% among the tannery workers. Tannery workers having a middle-school level of education were 3.01 times more likely to be aware of the hazards as compared to the illiterate workers. Tannery workers aged 36 and above were less likely to aware of a hazardous work environment. Further, tannery workers who belong to the younger cohort (16–24...
Background: Smoking, alcohol consumption and chewing of tobacco affect the health of people as we... more Background: Smoking, alcohol consumption and chewing of tobacco affect the health of people as well as the socioeconomic structure of families, communities and eventually the nation. This study assesses the prevalence of substance use among municipal solid waste workers of Mumbai. Methods: To conduct the study, information was collected from 540 municipal workers of Mumbai with regard to substance use as well as their socioeconomic and occupational characteristics. To draw inferential statistics, the data was processed through multivariate logistic regression (MLR) and ordered logistics regression (OLR). Results: Multivariate regression suggests that waste loaders and street sweepers are significantly more likely to smoke, consume alcohol and chew tobacco with reference to the comparison group. Workers with more working years and morbid health status are significantly more likely to get involved with substance use. The results of OLR reveal that municipal waste workers are significantly more likely to consume alcohol on a daily basis (β = 0.220, p < 0.001). Conclusion: Socioeconomic characteristics significantly contribute in increasing the risk of substance use among workers. Workers defend their habit of substance use by considering it as a mechanism for coping with the filthy nature of their occupation. Evidence-based preventive measures need to be developed in order to reduce substance use among municipal solid waste workers.
Archives of Environmental & Occupational Health, 2019
Study assesses the effects of solid-waste loading on workers, the resultant development of
occupa... more Study assesses the effects of solid-waste loading on workers, the resultant development of occupational morbidities, and economic burden of these morbidities. A cross-sectional survey was conducted with 360 municipal workers from six of 24 municipal wards in Mumbai. The nearest neighborhood method of Propensity Score Matching (PSM) examined the impact of waste-loading on the development of morbidities and to identify the risk factors – multiple logistic regression analysis was performed. The prevalence of musculoskeletal disorders (MSDs), injury, eye and skin infections found significantly higher for waste-loaders compared to comparison group. The PSM method revealed that the occupation of waste-loading significantly raised the risk of injury (34%), MSDs (23%), eye (19%), skin infection (15%) and disability (15%), compared to comparison group. Significantly higher health expenditure is observed among waste-loaders who have sought treatment in private health facility than public. The study recommends to offer assistance the medical insurance for reducing the financial burden on waste-loaders.
This paper analyses the source of health care facilities, focusing on under-utilization of public... more This paper analyses the source of health care facilities, focusing on under-utilization of public health facilities and insurance coverage among the urban poor. It used data from 5720 households from three Indian cities of Bhubaneswar, Jaipur and Pune.Urban poor are highly deprived in health insurance coverage as the adjusted effect portrays that slum residences in Jaipur and Pune are 0.57 (p<0.05) and 0.63 (p<0.05) times less likely to be covered by any health insurance despite a considerable proportion of them visiting private health facilities for general health and for maternal,new born and child health services. Only one-fifth of the households in the three cities have at least one member in the family covered under any health insurance scheme. The proportion is lower among slum dwellers as only one in every tenth household reported having at least one member covered in it.
Occupational health covers all aspects of health and safety in the workplace and has a strong foc... more Occupational health covers all aspects of health and safety in the workplace and has a strong focus on primary prevention of hazards. The objective of the study was to understand the extent of awareness about occupational health risks involved in tannery occupation and adopted preventive measures by the tannery workers of Kanpur, India. Information for the present research was strained from a cross-sectional household study of tannery workers in the Jajmau area of Kanpur. The survey was piloted through the period January–June 2015, and 284 samples were collected. The prevalence of awareness of tannery work is very hazardous in nature varies from 73–93% among the tannery workers. Tannery workers having a middle-school level of education were 3.01 times more likely to be aware of the hazards as compared to the illiterate workers. Tannery workers aged 36 and above were less likely to aware of a hazardous work environment. Further, tannery workers who belong to the younger cohort (16–24...
Background: Smoking, alcohol consumption and chewing of tobacco affect the health of people as we... more Background: Smoking, alcohol consumption and chewing of tobacco affect the health of people as well as the socioeconomic structure of families, communities and eventually the nation. This study assesses the prevalence of substance use among municipal solid waste workers of Mumbai. Methods: To conduct the study, information was collected from 540 municipal workers of Mumbai with regard to substance use as well as their socioeconomic and occupational characteristics. To draw inferential statistics, the data was processed through multivariate logistic regression (MLR) and ordered logistics regression (OLR). Results: Multivariate regression suggests that waste loaders and street sweepers are significantly more likely to smoke, consume alcohol and chew tobacco with reference to the comparison group. Workers with more working years and morbid health status are significantly more likely to get involved with substance use. The results of OLR reveal that municipal waste workers are significantly more likely to consume alcohol on a daily basis (β = 0.220, p < 0.001). Conclusion: Socioeconomic characteristics significantly contribute in increasing the risk of substance use among workers. Workers defend their habit of substance use by considering it as a mechanism for coping with the filthy nature of their occupation. Evidence-based preventive measures need to be developed in order to reduce substance use among municipal solid waste workers.
Archives of Environmental & Occupational Health, 2019
Study assesses the effects of solid-waste loading on workers, the resultant development of
occupa... more Study assesses the effects of solid-waste loading on workers, the resultant development of occupational morbidities, and economic burden of these morbidities. A cross-sectional survey was conducted with 360 municipal workers from six of 24 municipal wards in Mumbai. The nearest neighborhood method of Propensity Score Matching (PSM) examined the impact of waste-loading on the development of morbidities and to identify the risk factors – multiple logistic regression analysis was performed. The prevalence of musculoskeletal disorders (MSDs), injury, eye and skin infections found significantly higher for waste-loaders compared to comparison group. The PSM method revealed that the occupation of waste-loading significantly raised the risk of injury (34%), MSDs (23%), eye (19%), skin infection (15%) and disability (15%), compared to comparison group. Significantly higher health expenditure is observed among waste-loaders who have sought treatment in private health facility than public. The study recommends to offer assistance the medical insurance for reducing the financial burden on waste-loaders.
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Papers by Praveen Chokhandre
occupational morbidities, and economic burden of these morbidities. A cross-sectional survey
was conducted with 360 municipal workers from six of 24 municipal wards in Mumbai. The
nearest neighborhood method of Propensity Score Matching (PSM) examined the impact of
waste-loading on the development of morbidities and to identify the risk factors – multiple
logistic regression analysis was performed. The prevalence of musculoskeletal disorders
(MSDs), injury, eye and skin infections found significantly higher for waste-loaders compared
to comparison group. The PSM method revealed that the occupation of waste-loading significantly
raised the risk of injury (34%), MSDs (23%), eye (19%), skin infection (15%) and disability
(15%), compared to comparison group. Significantly higher health expenditure is
observed among waste-loaders who have sought treatment in private health facility than
public. The study recommends to offer assistance the medical insurance for reducing the
financial burden on waste-loaders.
occupational morbidities, and economic burden of these morbidities. A cross-sectional survey
was conducted with 360 municipal workers from six of 24 municipal wards in Mumbai. The
nearest neighborhood method of Propensity Score Matching (PSM) examined the impact of
waste-loading on the development of morbidities and to identify the risk factors – multiple
logistic regression analysis was performed. The prevalence of musculoskeletal disorders
(MSDs), injury, eye and skin infections found significantly higher for waste-loaders compared
to comparison group. The PSM method revealed that the occupation of waste-loading significantly
raised the risk of injury (34%), MSDs (23%), eye (19%), skin infection (15%) and disability
(15%), compared to comparison group. Significantly higher health expenditure is
observed among waste-loaders who have sought treatment in private health facility than
public. The study recommends to offer assistance the medical insurance for reducing the
financial burden on waste-loaders.